接受外固定治疗的骨科损伤患者的术后感染
Postoperative infection in patients undergoing inspection of orthopedic damage due to external fixation.
作者信息
Foni Noel Oizerovici, Batista Felipe Augusto Ribeiro, Rossato Luís Henrique Camargo, Hungria José Octavio Soares, Mercadante Marcelo Tomanik, Christian Ralph Walter
机构信息
Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brazil.
出版信息
Rev Bras Ortop. 2015 Oct 31;50(6):625-30. doi: 10.1016/j.rboe.2015.10.011. eCollection 2015 Nov-Dec.
OBJECTIVE
To conduct a retrospective analysis on cases undergoing inspection of orthopedic damage, at an orthopedic emergency service in a teaching hospital, with the aim of evaluating patients with postoperative infection after conversion to internal osteosynthesis.
METHODS
This was a retrospective analysis covering the period from June 2012 to June 2013, on patients who underwent inspection of orthopedic damage due to external fixation and subsequently were converted to definitive osteosynthesis using a nail or plate.
RESULTS
We found an infection rate of 13.3% in our sample and, furthermore, found that there had been technical errors in setting up the fixator in 60.4% of the cases.
CONCLUSION
We found an infection rate that we considered high, along with inadequacies in constructing the external fixator. We emphasize that this procedure is not risk-free and that training for physicians who perform this procedure should be mandatory.
目的
对一家教学医院骨科急诊服务中接受骨科损伤检查的病例进行回顾性分析，旨在评估转为内固定术后发生感染的患者。
方法
这是一项回顾性分析，涵盖2012年6月至2013年6月期间因外固定接受骨科损伤检查并随后使用髓内钉或钢板转为确定性内固定的患者。
结果
我们在样本中发现感染率为13.3%，此外，还发现在60.4%的病例中存在外固定器安装技术错误。
结论
我们发现感染率较高，同时外固定器构建存在不足。我们强调该手术并非无风险，应对实施该手术的医生进行强制性培训。
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